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Kasie Gordon, MP
NPI 1659731511 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2180 W Ironwood Center Dr
Coeur D Alene, ID 83814 - Phone
- (208) 819-3190
- Organisation at this address
- Porto Uniao, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho